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MS. ANNETTE B. CHURCH LPC, LISAC
NPI 1952349011
Counselor - Addiction (Substance Use Disorder) in Prescott, AZ

Active since June 02, 2006
642 DAMERON DR, PRESCOTT, AZ 86301(928) 445-5211(928) 776-0963 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Annette B. Church Lpc, Lisac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANNETTE B. CHURCH LPC, LISAC (NPI 1952349011) is an individual addiction (substance use disorder) provider in Prescott, Arizona, licensed in Arizona (LISAC-10423) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1952349011
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. ANNETTE B. CHURCHCredential: LPC, LISAC
Location Address642 DAMERON DRPrescott, AZ 86301-2411
Mailing Address642 Dameron DrPrescott, AZ 86301-2411 · (928) 445-5211 · Fax (928) 776-0963
Phone(928) 445-5211
Fax(928) 776-0963
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1952349011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LISAC-10423
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-10149 (AZ)

Other Identifiers 1

Other590027AZ · Ahcccs #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN LEE SNYDER CPHT
Pharmacy Technician
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
NATHAN WILLIAM FARNSWORTH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
PEAKS YOUTH BEHAVIORAL HEALTH CENTER, LLC
Residential Treatment Facility, Emotionally Disturbed Children
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 848-6941
DARLENE BETH ARNOLD RN
Registered Nurse (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
JULIE A NAVE LPC
Counselor (Professional)
642 DAMERON DR, HILLSIDE CENTER
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
JOHN M SCHUDERER LISAC LPC
Counselor (Professional)
642 DAMERON DR, WEST YAVAPAI GUIDANCE CLINIC INC HILLSIDE CD
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
ROBERT W REHAK JR. LCSW
Social Worker
642 DAMERON DR, HILLSIDE CLINIC
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211
JACQUELINE J JOHNSON LPC
Counselor (Professional)
642 DAMERON DR
PRESCOTT, AZ 86301
Yavapai County (928) 445-5211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Church's NPI number?

The NPI number for Annette Church is 1952349011. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Annette Church located?

Annette Church practices at 642 Dameron Dr, Prescott, AZ 86301. The listed phone number is (928) 445-5211.

What is Annette Church's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Annette Church was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.